England, death certificate (certified copy) for Richard Nightingale, died 16 January 1879; registered 17 January 1879. West Bromwich district,Oldbury Sub-district, County of Worcester; General Register Office, Southport.

Text from source:

CERTIFIED COPY OF AN ENTRY OF DEATH GIVEN AT THE GENERAL REGISTER OFFICE
Registration district West Bromwich
1879 Death in the sub-district of Oldbury in the County of Worcester
No. When and where died Name and Surname Sex Age Occupation Cause of death Signature, description and residence of informant When registered Signature of registrar
267 16 Jan 1879 Churchbridge Richard Nightingale Male 63 Pawn Broker Chronic Bronchitis Asthma Certified [illegible] Mary Nightingale Daughter Present at the death Braybrooke Street West Bromwich 17 Jan 1879